Organization
BUCKNER RETIREMENT SERVICES, INC.
Active
Other names
Buckner Villa Siesta Home
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOORE (MGR OF ADMINISTRATION & CONTRACT)
(214) 758-8136
Entity
Organization
Contact information
Practice address
11110 TOM ADAMS DR, AUSTIN, TX 78753-3354
(512) 836-1515
(512) 836-7627
Mailing address
12377 MERIT DR STE 900, DALLAS, TX 75251-3102
(214) 758-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
113372
TX
Other
Enumeration date
08/31/2006
Last updated
08/01/2025
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